Colorectal Cancer during the COVID-19 Pandemic Era: A Case Series in Phonthong Hospital, Roi-Et Province

Main Article Content

Pissanu Pana
Pingporn Phoophaluang
Nantiya Wannachat


Background and Object: Colorectal cancer (CRC) was the fourth most common cancer in Thailand. During COVID-19 pandemic, CRC screening program was not performed. advanced stage of CRC. Maybe increased. This study aimed to the impact of COVID-19 pandemic on incidence of CRC at Phontong hospital, Roi-Et province.

Methods: A cross-sectional descriptive study, between July 2021 and December 2021, COVID-19 pandemic period. We included newly CRC patients. The data analyzed the following variable included age, gender, tumor location, staging and treatment modality.

Results: During 6 months period, we evaluated 16 patients who newly diagnosed CRC. The most frequent staging was stage IV, in 68.75% followed by stage III 31.25% of cases, there were no stage 0, I and II. All of patients (100%) presented clinically node positive represented advanced TNM stage. The most common location of cancer was rectum (56.25%) followed by descending and rectosigmoid colon (12.5%) equally. Emergency clinical presentation was 37.5%, all of them presented as obstructive symptom. Curative surgery was performed in 25%, whereas 75% of the cases were palliati ve care

Conclusion: There was increasing advanced stage of CRC during COVID-19 pandemic represented increase a low survival rate and mortality rate in CRC patients.


Download data is not yet available.

Article Details

How to Cite
Pana P, Phoophaluang P, Wannachat N. Colorectal Cancer during the COVID-19 Pandemic Era: A Case Series in Phonthong Hospital, Roi-Et Province. SRIMEDJ [Internet]. 2022 Aug. 30 [cited 2023 Feb. 7];37(4):367-72. Available from:
Original Articles


Sung H FJ, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA CANCER J Clin 2021;71(3):209-49.

Phiphatpatthamaamphan K, Vilaichone R. Colorectal cancer in the central region of Thailand. Asian Pac J Cancer Prev 2016;17(7):3647-50.

Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 2015;136(5):E359-E86.

Kammar P, Chaturvedi A, Sivasanker M, de’Souza A, Engineer R, Ostwal V, et al. Impact of delaying surgery after chemoradiation in rectal cancer: outcomes from a tertiary cancer centre in India. J Gastrointestinal Oncol 2020;11(1):13-22.

Simunovic M, Rempel E, Thériault M-E, Baxter NN, Virnig BA, Meropol NJ, et al. Influence of delays to nonemergent colon cancer surgery on operative mortality, disease-specific survival and overall survival. Can J Surg 2009;52(4):E79-E86.

Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus–infected pneumonia. New Eng J Med 2020;382:1199-207.

Kaufman HW, Chen Z, Niles J, Fesko Y. Changes in the number of US patients with newly identified cancer before and during the coronavirus disease 2019 (COVID-19) pandemic. JAMA Netw Open. 2020;3(8):e2017267.

Richards M, Anderson M, Carter P, Ebert BL, Mossialos E. The impact of the COVID-19 pandemic on cancer care. Nature Cancer 2020;1(6):565-7.

Friedrich K, Grüter L, Gotthardt D, Eisenbach C, Stremmel W, Scholl SG, et al. Survival in patients with colorectal cancer diagnosed by screening colonoscopy. Gastrointest Endosc 2015;82(1):133-7.

Zauber AG, Winawer SJ, O'Brien MJ, Lansdorp-Vogelaar I, van Ballegooijen M, Hankey BF, et al. Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths. N Engl J Med 2012;366:687-96.

Thailand NCIo. Hospital-based cancer registry 2017. Bangkok (Thailand): Pronsup Printing; 2017.

Chen HS, Sheen-Chen SM. Obstruction and perforation in colorectal adenocarcinoma: an analysis of prognosis and current trends. Surgery 2000;127(4):370-6.

Sjo O, Larsen S, Lunde O, Nesbakken A. Short term outcome after emergency and elective surgery for colon cancer. Colorectal Dis 2009;11(7):733-9.

Alves A, Panis Y, Mathieu P, Mantion G, Kwiatkowski F, Slim K. Postoperative mortality and morbidity in French patients undergoing colorectal surgery: results of a prospective multicenter study. Arch Surg 2005;140(3):278-83.

McArdle C, Hole D. Emergency presentation of colorectal cancer is associated with poor 5-year survival. J British Surg 2004;91(5):605-9.